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NPI Code Detail

MEDICARE: METCARE OF FLORIDA, INC

MEDICARE: METCARE OF FLORIDA, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1619433869
Entity Type Code : Organization
Provider Name (Legal Business Name) : METCARE OF FLORIDA, INC
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 4090 S RIDGEWOOD AVE
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-4501
Country : US
Telephone Number : 386-761-0050
Fax Number : 386-761-1167
Authorized Official
Title or Position : DIVISION PRESIDENT
Name : KEVIN MERIWETHER
Credential :
Telephone Number : 305-500-2000
Provider Enumeration Date : 02/13/2019
Last Update Date : 06/21/2024

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Directions to “METCARE OF FLORIDA, INC ” Practice Location

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